Ebow Hanson, LPN
Licensed Practical Nurse in Williamsville, NY. Individual provider (NPI-1).
NPI number1003045261
StatusActive
Last updated in NPPESJul 9, 2009
Details
- NPI
- 1003045261
- Entity type
- Individual (NPI-1)
- Name
- Ebow Hanson
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2009
- Last updated
- Jul 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 296412 | NY | Yes |
Practice location
2250 Wehrle DrSuite 1
Williamsville, NY 14221-7034
Phone 716-276-2123 · Fax 716-276-2129
Mailing address
341 Colvin AveApt 14
Buffalo, NY 14216-2322
Phone 347-204-5182
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